Audiology
Tympanoplasty
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Tympanoplasty is surgery to close a perforated (torn) tympanic membrane and repair your middle ear. Your tympanic membrane (eardrum) is a tissue found in the middle part of your ear. Your eardrum divides your outer ear canal from your inner ear.

Tympanoplasty may be needed if your eardrum is completely torn, collapsed or diseased. You may also need the surgery if your torn eardrum has caused a chronic (long-time) eustachian tube problem. Your eustachian tube connects your middle ear to your throat. Your ossicles (three middle-ear bones) and the bone behind your ear may also be damaged and need repair.

How your surgery is done will depend on the type of damage seen in your middle ear. With a tympanoplasty your hearing loss may improve.

Before surgery

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine. Ask your caregiver if you need to start or stop using certain medicines before your surgery.
  • You may need to have blood tests and x-rays. You may also need hearing tests, such as pure tone audiometry. Ask your caregiver for more information about these and other tests that you may need. Write down the date, time, and location of each test.

Night before surgery

  • Ask your caregiver about directions for eating and drinking.

Day of surgery

  • Write down the correct date, time, and location of your surgery.
  • You or a close family member will be asked to sign a legal piece of paper (consent form). It gives your caregiver permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Be sure all your questions have been answered before you sign this form.
  • An anesthesiologist may talk to you before your surgery. This caregiver may give you medicine to make you sleepy before your procedure or surgery. Tell your caregiver if you or anyone in your family has had a problem using anesthesia in the past.
  • A nurse may insert an intravenous tube (IV) into your vein. Through the IV tube, you may be given liquids and medicine.

Treatment

You will be taken to the room where your surgery will be done. You will then be moved to a special table or bed. Anesthesia medicine will be given to keep you free from pain during your surgery. Your ear and the area around it will be cleaned using a germ-killing solution. Sheets will be placed around your surgery site to keep the area clean. Your surgeon may make an incision behind your ear to see your eardrum clearly. Incisions may also be made inside your ear, and above or below your ear. Another incision will be made if your ear graft must be taken from another part of your body.

After surgery

You will be taken to a room where you can rest until you wake up. Do not get out of bed until your caregiver says it is OK. When caregivers see that you are having no problems, you may be able to go home. If you are staying in the hospital, you will be taken back to your room. You will have a bandage over your incision to cover your stitches. This bandage will help keep the area clean and dry to prevent infection.


For more information about DMC Sinai-Grace Hospital’s audiology and hearing services or to make an appointment, call 313-966-4725.